Evaluation Of Using Limb Reconstruction System As A Primary And Definitive Fixation In Management Of Open Fracture Of Long Bone Lower Limb

Document Type : Original Article

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Department of orthopedic surgery, Faculty of Medicine, Aswan University

Abstract

Background: Staged management of open fractures is challenging, time-consuming, and burdensome for surgeons and patients. The Limb Reconstruction System is an ideal one-stage surgery for managing open fractures in long bones in the lower limbs to avoid these difficulties.
Objective: to assess the efficacy of the Limb Reconstruction System in treating open fractures in long bones of lower limbs regarding fracture stability and union.
Method: This is a prospective study on 20 patients with open fractures tibia and femur. The patients were between 8 and 65 years old. All patients were treated with the Limb Reconstruction System. The assessment data included: joints (knee and ankle) range of motion, weight-bearing and fracture union.
Result: The mean age in the study was 35.6 years with male predominance (93.3%). The union rate was 85% (17 cases) and the mean union time was 6.9 ± 1.9 months. pin tract infections rate 45% (9 cases), 2 (10%) patients with deep infections, Equinus in 1(5%) patient, infected non-union in 1(5%) patient, delayed union in 1(5%) patient, and mal-union in 1(5%). Regarding modified Anderson and Hutchinson's criteria; good in 11 patients, moderate in 6 patients, and poor in 3 patients.
Conclusion: The Limb Reconstruction System is an effective method for the management of open fractures of long bones of the lower limbs, achieving early mobilization with minimal complications.

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